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Job responsibilities Primary function is to investigate, evaluate and resolve new and existing high-profile complex claims, including: Concussion/CTE sports injury claims Toxic product exposures (Talc, benzene) Opioid public nuisance litigation claims PFAS groundwater contamination MTBE First and Third party Environmental Property damage and bodily injury exposure.
$105,000 - $132,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Under the direction of the Superintendent for the Department of Financial Services (DFS), the Executive Deputy Superintendent for the Consumer Protection and Financial Enforcement Division (CPFED) oversees the following Business Units: Enforcement, the Consumer Examination Unit, the Consumer Assistance Unit, the Holocaust Claims Processing Office, the Criminal Investigations Bureau, and the Frauds Bureau.
Starting at $162,868 - $201,711 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The auto liability claims department is looking for an experienced Claims Examiner to handle moderate complexity auto claims within our organization. Evaluate, negotiate, and settle assigned property damage or bodily injury claims within authority granted, or seek authority for those claims in excess of authority.
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Compiles and organizes medical records; distributes to Medicare Compliance nurses for analysis; and provides guidance and advice on processing claims based on nurses’ analysis. Analyzes lien notices for accuracy, communicates with the CMS to efficiently facilitate lien resolutions on claims and/or prepare MSA submissions in accordance with submission guidelines from CMS as assigned.
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Collaborate with various functional areas across the organization, including underwriting, claims, risk control, actuarial, legal, marketing, and regulatory compliance in creating products. Job DescriptionWe are seeking an AVP - Product and Regulatory Counsel reporting to VP - Associate General Counsel.
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The PIC Operations Manager will liaise closely with analytics, MIS team, Network Relations, Quality Management, Claims and Compliance to ensure all projects and processes are adhered to and completed as required.
$97,000 - $107,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Performing Java Message Service (JMS) configuration with MQ, Extensible Markup Language (XML) tools, and Extensible Stylesheet Language Transformation (XSLT) Configuring message flow and message set, deploying bar files, and setting up database configuration in Windows Server.
$55 - $70 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Minimum 3 - 5 years experience in billing compliance and revenue cycle management with a strong preference for outpatient clinical claims reimbursement experience; The ideal candidate is a specialist in outpatient clinical claims reimbursement, data analysis and reconciliation, and in achieving annual revenue targets.
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Minimum 8 years of field-based Market Access Account Management experience with a proven track record in access and reimbursement, working with biotech specialty products (Commercial Account Management, Government Account Channels, Market Access Payer Marketing, Patient/Provider Reimbursement HUB services and some degree of coding and claims processing.
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Experience Security Information Event Management (SIEM) configuration and management experience (Solarwinds, LogRhythm, Splunk, In summary you will: Assist in the design, implementation and configuration of security tools Configure and troubleshoot security systems including the SIEM, endpoint security solutions, application whitelisting tools, firewalls, penetration and vulnerability scanning and analysis.
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File review and legal analysis of workers’ compensation claims. Leading law firm is seeking a Workers Compensation Attorney with 2-7 years of experience. Legal research and drafting of client correspondence, discovery devices, summations, appeals and appellate briefs.
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EQ offers a comprehensive product set, including transfer agency services, cap table management, equity compensation services, proxy solicitation and advisory services, private company solutions and bankruptcy claims administration services.
$75,000 - $83,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This person will be reporting to the Director of Global IT for Maesa and will be working with the both the Finance Analyst and the NetSuite Administrator on developing functional designs, implementing, testing, and communicating with Maesa internal staff on what they are requesting to achieve through reports, dashboards, configuration changes, and master data changes.
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MDM tools (JAMF and Intune) for enrollment and secure configuration of employee laptops. Provide comprehensive support for Office 365 applications, assisting end users with configuration, access, and usage queries.
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Technical skills in healthcare regulatory compliance, Medicare, Medicaid reimbursement, Start, HIPAA privacy laws, Fraud & Abuse and False Claims law. Develop and deploy education focused on identified business processes to mitigate the risk of noncompliance in areas vulnerable to error or noncompliance such as billing, coding, Stark laws, fraud & abuse laws, false claims or other identified risk areas.
$225,000 - $275,000 a yearFull-timeExpandApply NowActive JobUpdated Today
claims configuration jobs Company: Metroplus Health Plan in Bronx, NY
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